一种新颖的模拟方法,用于为被诊断患有严重先天性心脏病的儿童的母亲护理人员做好准备。

Kathy Murphy, Jenna Shackleford, Nneka Alexander, Leslie Brunson, Kathryn Morgan, Brittany McKemie, Ginger Weido, Kendall Haney, Laura Lei Castillo, Ashley Pierson, Christina Calamaro, Leandra Prempeh, Melissa Osborne
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引用次数: 0

摘要

目的:本可行性研究的目的是确定由跨专业人员主导的低仿真模拟项目在三个时间点上对产妇护理人员在护理需要进行新生儿心脏手术的危重先天性心脏病(CCHD)婴儿时所感受到的压力、能力感和出院准备情况的影响:在产前、转入心脏急症监护室(CACU)和入住病房这三个时间点,对模拟组和非干预组进行感知压力量表(PSS)测试。模拟组在第二和第三个时间点测量家长能力感(PSOC),在第三个时间点测量出院准备度(RDHS)。我们使用线性混合模型来检验 PSS 和 PSOC 随时间变化的得分:在 33 名产妇护理人员中,模拟组有 12 人,非干预组有 21 人。在模拟组中,与产前相比,入室时产妇有中度-高度压力的几率明显降低。从时间点 2 到同房,PSOC 分数出现了积极的变化。RDHS 分数代表出院准备情况良好:研究结果表明,从产前 CCHD 诊断到心脏手术后出院回家的整个过程中,模拟可改善产妇护理人员的压力。未来的工作应包括随机治疗分配,以评估因果关系:实践意义:患有 CCHD 的婴儿需要大量的术后恢复和专门的家庭护理。重症 CCHD 新生儿的母亲护理者面临的压力风险更大。本研究的结果表明,在产前与护士和跨学科团队合作可减轻护理人员的压力。
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A novel simulation to prepare maternal caregivers of children diagnosed with a critical congenital heart defect.

Purpose: The purpose of this feasibility study was to determine the effectiveness of an interprofessional led low-fidelity simulation program over three timepoints on maternal caregivers' perceived stress, sense of competence and discharge readiness for care of critical congenital heart disease (CCHD) infants requiring neonatal cardiac surgery.

Design and methods: The Perceived Stress Scale (PSS) was administered to simulation and non-intervention groups at three timepoints: prenatal period, Cardiac Acute Care Unit (CACU) transfer, and rooming-in. Parental Sense of Competence (PSOC) was measured at timepoint two and three, and Readiness for Hospital Discharge (RDHS) was measured at timepoint three for the simulation group. A linear mixed model was used to examine PSS and PSOC scores over time.

Results: Of the thirty-three maternal caregivers, twelve were in the simulation group and twenty-one were in the non-intervention group. In the simulation group, the odds of having moderate-high stress were significantly lower at rooming-in compared to the prenatal period. From timepoint two to rooming-in, there was a positive change in PSOC scores. RDHS scores represented good readiness for discharge.

Conclusion: Findings suggest that simulation may improve maternal caregiver stress from prenatal CCHD diagnosis to discharge home after cardiac surgery. Future work should include random treatment assignment to assess causal relationships.

Practice implications: Infants with CCHD require extensive postoperative recovery and specialized home care. Maternal caregivers of critically ill CCHD neonates are at increased risk for stress. Results from this study suggest engagement with nurses and interdisciplinary team during the prenatal period may reduce caregiver stress.

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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
291
审稿时长
65 days
期刊介绍: Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
期刊最新文献
Assessing the supportive care needs of parents of children with rare diseases in Ireland. Emotional and psychosocial functioning in youngsters with a congenital heart disease (CHD) in comparison to healthy controls. Beyond base pairs: Using simulation to build genomic competency in pediatric nurse practitioners. Encountering children with suspected neurodevelopmental disorders in Child Health Services: Swedish nurses' experiences. The Effect of White Noise and Recorded Lullaby during Breastfeeding on Newborn Stress, Mother's Breastfeeding Success, and Comfort: A Randomized Controlled Trial.
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